Influenza vaccination policy-making processes in France and The Netherlands: Framework and determinants

Maria Laura Silva, Lionel Perrier, John W. Paget, Anne Mosnier, Valérie Buthion, Jean Marie Cohen, Hans Martin Späth
2016 Health Policy  
Objectives: Target groups for seasonal influenza vaccination are nationally defined based on several factors. However, few studies have explored the policy-making processes at the country-level. We investigated key differences in the policy-making process for the development of vaccination recommendations between France (FR) and The Netherlands (NL). This paper presents preliminary results on the evidence used in the decision-making process and focuses on the interactions between the experts
more » ... stakeholders. Methods: A documentary analysis identified the stakeholders of this process as governmental authorities, research institutions, associations, and manufacturers. This qualitative study included at least one expert from each stakeholder group. Thirty-three semi-structured interviews were performed in 2013 (16 FR, 17 NL). We used NVivo10® to perform a thematic content analysis on the data. Results: National Immunization Technical Advisory Groups (NITAGs) were the key stakeholders in the development of recommendations. There was no systematic standard evaluation of evidence during the decision-making process in both countries. Likewise, voting was not systematic, although it did occur more often in FR. A declaration of interests was obligatory in both countries. Experts with no conflicts of interest were rare because many depend on private funding for their research on influenza vaccination. Silva, M.L., Perrier, L., Paget, W.J., Mosnier, A., Buthion, V., Cohen, J.M., Späth, H.M. Influenza vaccination policy-making processes in France and The Netherlands: framework and determinants. Health Policy: 2016, 120(3), 293-305 This is a NIVEL certified Post Print, more info at http://www.nivel.eu Silva, M.L., Perrier, L., Paget, W.J., Mosnier, A., Buthion, V., Cohen, J.M., Späth, H.M. Influenza vaccination policy-making processes in France and The Netherlands: framework and determinants. Health Policy: 2016, 120(3), 293-305 Silva, M.L., Perrier, L., Paget, W.J., Mosnier, A., Buthion, V., Cohen, J.M., Späth, H.M. Influenza vaccination policy-making processes in France and The Netherlands: framework and determinants. Health Policy: 2016, 120(3), 293-305 Silva, M.L., Perrier, L., Paget, W.J., Mosnier, A., Buthion, V., Cohen, J.M., Späth, H.M. Influenza vaccination policy-making processes in France and The Netherlands: framework and determinants. Health Policy: 2016, 120(3), 293-305 vaccination policy-making processes in France and The Netherlands: framework and determinants. Health Policy: 2016, 120(3), 293-305 This is a NIVEL certified Post Print, more info at http://www.nivel.eu
doi:10.1016/j.healthpol.2016.01.005 pmid:26806677 fatcat:4c7d7y3iqzg33mjdlznek5ejqq